Better quality in healthcare through gamified simulation based skill - PowerPoint PPT Presentation

Oral presentation Better quality in healthcare through gamified simulation based skill training application Weronika Tancredi (Chalmers University of Technology) Mikael Wintell (Västra Götalandsregionen) Lars Lindsköld (Västra Götalandsregionen) 30 August 2011, Oslo MIE ¡2011, ¡Weronika ¡Tancredi ¡ 1 ¡

I will I will follow follow Introduction Introduction MIE ¡2011, ¡Weronika ¡Tancredi ¡ 2 ¡

Introduction Theory Method Results Discussion and Conclusions MIE ¡2011, ¡Weronika ¡Tancredi ¡ 3 ¡

Introduction Abdominal aortic aneurysm (AAA) Each year 1000 events of death in Sweden. Since 2008 all men, at the age of 65 in VGR are offered screening for AAA. MIE ¡2011, ¡Weronika ¡Tancredi ¡ 4 ¡

Introduction Wide aorta Normal aorta Irregular walls of aorta Regular walls of aorta Plaque, snaky (serpentine) MIE ¡2011, ¡Weronika ¡Tancredi ¡ 5 ¡

Introduction Wide aorta Normal aorta Irregular walls of aorta Regular walls of aorta Plaque, snaky (serpentine) Hard to measure Easy to measure MIE ¡2011, ¡Weronika ¡Tancredi ¡ 6 ¡

The purpose Explore if a gamified simulation based online training application could be a viable and acceptable solution helping the screening personnel to train measuring the abdominal aortic diameter in ultrasound images. MIE ¡2011, ¡Weronika ¡Tancredi ¡ 7 ¡

The goal to design a usable skill training application (Aortaspelet) helping the screening personnel to measure abdominal aortic diameter in ultrasound images with better precision. MIE ¡2011, ¡Weronika ¡Tancredi ¡ 8 ¡

Introduction Theory Method Results Discussion and Conclusions MIE ¡2011, ¡Weronika ¡Tancredi ¡ 9 ¡

Theory ● User centered design ● Educational theories Behaviourism ● Information processing ● Constructivism ● MIE ¡2011, ¡Weronika ¡Tancredi ¡ 10 ¡

Introduction Theory Method Results Discussion and Conclusions MIE ¡2011, ¡Weronika ¡Tancredi ¡ 11 ¡

Method The Goal Directed Design process ● Research ● Modeling ● Requirements Definition ● Framework Definition ● Refinement MIE ¡2011, ¡Weronika ¡Tancredi ¡ 12 ¡

Method: Research ● Interviews with stakeholders ● Field study – Observation of the personnel – Interviews with the personnel and questionnaires about learning of work practice MIE ¡2011, ¡Weronika ¡Tancredi ¡ 13 ¡

Method: Modeling ● Persona ● Workflow model MIE ¡2011, ¡Weronika ¡Tancredi ¡ 14 ¡

Method: Requirements Definition ● Persona's expectations ● Context scenarios MIE ¡2011, ¡Weronika ¡Tancredi ¡ 15 ¡

Method: Framework Definition ● Form ● Elements ● Operations on elements MIE ¡2011, ¡Weronika ¡Tancredi ¡ 16 ¡

Method: Refinement Evaluation methods applied in this design process ● Heuristic evaluation ● Testing paper prototypes with end users ● Cognitive walkthrough ● Usability testing of an interactive prototype MIE ¡2011, ¡Weronika ¡Tancredi ¡ 17 ¡

Introduction Theory Methods Results Discussion and Conclusions MIE ¡2011, ¡Weronika ¡Tancredi ¡ 18 ¡

Results: Research Results of the interviews with three stakeholders -requirements of stakeholders: ● Skill training twice a year ● Continuous quality improvement and control for experienced personnel ● Comparison with others MIE ¡2011, ¡Weronika ¡Tancredi ¡ 19 ¡

Results: Research Results of the observation of and interviews with personnel: ● characteristics of the personnel ● details about their work MIE ¡2011, ¡Weronika ¡Tancredi ¡ 20 ¡

Results: Modeling Persona – a textual portrait representing users with similar behaviour, attitudes, aptitudes, goals and motivations Persona Erica is a 45 years old Biomedical Analyst (BMA) that: ● is confident of handling ultrasound machine ● always works together with a colleague ● .... MIE ¡2011, ¡Weronika ¡Tancredi ¡ 21 ¡

Results: Requirements Definition Persona's expectations ● training application should be similar to an ultrasound machine ● to rewind the sequence back and forth ● to get feedback on the angle of measurement MIE ¡2011, ¡Weronika ¡Tancredi ¡ 22 ¡

Results: Refinement Results of usability testing of interactive prototype Usability goal 1: (HELP markers) no one ● should need help MIE ¡2011, ¡Weronika ¡Tancredi ¡ 23 ¡

Results: Refinement Results of usability testing of interactive prototype Usability goal 1: (HELP markers) no one ● should need help – What are HELP markers? MIE ¡2011, ¡Weronika ¡Tancredi ¡ 24 ¡

Results: Refinement Number of times test participants needed help by task MIE ¡2011, ¡Weronika ¡Tancredi ¡ 25 ¡

Results: Refinement Results of usability testing of interactive prototype Usability goal 2: (Satisfaction scores) to ● obtain 90 of 100 System Usability Scale scores MIE ¡2011, ¡Weronika ¡Tancredi ¡ 26 ¡

Results: Refinement Results of usability testing of interactive prototype Usability goal 2: (Satisfaction scores) to ● obtain 90 of 100 System Usability Scale scores ● Test 1: 55 scores ● Test 2: 59 scores MIE ¡2011, ¡Weronika ¡Tancredi ¡ 27 ¡

Introduction Theory Methods Results Discussion and Conclusions MIE ¡2011, ¡Weronika ¡Tancredi ¡ 28 ¡

Discussion ● Involvement of end-users was valuable ● There is a lack of game based on line skill training applications ● Scenarios helped me as a designer to picture and imagine different design solutions ● Playing the game is still problematic – Watching the sequence and handling the slider at the same time is hard MIE ¡2011, ¡Weronika ¡Tancredi ¡ 29 ¡

Conclusion ● Prototype of Aortaspelet isn't fully usable yet ● Material collected during the usability evaluation can be used in the next design iteration and lead to more usable design MIE ¡2011, ¡Weronika ¡Tancredi ¡ 30 ¡

h<p://vgregionen.com/aortaspel ¡ ¡ MIE ¡2011, ¡Weronika ¡Tancredi ¡ 31 ¡

Thank you for listening! Questions ? weronika@chalmers.se MIE ¡2011, ¡Weronika ¡Tancredi ¡ 32 ¡